The New York State Education Department's Office of the Professions (OP) investigates and prosecutes professional misconduct in all professions EXCEPT medicine. The Office of Professional Medical Conduct (OPMC) is responsible for investigating complaints about physicians, physician assistants and specialist assistants in addition to monitoring practitioners placed on probation. Their website is http://www.health.state.ny.us/nysdoh/opmc/main.htm.

This website http://www.health.state.ny.us/nysdoh/opmc/howto2.htm will direct you how to report a problem with a physician.

FROM THE WEBSITE
If you believe your physician or physician assistant has acted improperly, you MUST file a written report. You may send a letter or complete a complaint form. Your complaint should include the full name and address of the physician or physician assistant, when the problems occurred and all other relevant information. To protect your confidentiality, OPMC does not accept complaints either by facsimile (fax) or electronic mail. Please send complaints to:
New York State Department of Health
Office of Professional Medical Conduct
433 River Street, Suite 303
Troy, New York 12180- 2299

Insurance Fraud Information Link:

If you want a complaint form, or have questions, call OPMC’s toll- free number, 1- 800- 663- 6114. Your complaint will be kept confidential.

According to the New York State Education Department Office of the Professions State Board of Acupuncture in order to practice acupuncture in NY State, an individual must either hold a NY State License in acupuncture, be a physician or dentist who holds certification in acupuncture or must hold a permit in acupuncture. A licensed acupuncturist may only be employed by another acupuncturist or a hospital, clinic or HMO. Licensees in other professions may NOT employee licensed acupuncturists.

Billing insurance utilizing the code 97780 (Acupuncture, one or more needles; without electrical stimulation) for administering a herbal patch on someone without the insertion of one needle obviously falls under the category of fraudulent insurance billing practices. According to the New York State Education Department Office of the Professions State Board of Acupuncture practicing herbology is not part of the acupuncture scope of practice.

 


 
 

   
 
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